Individual provider Active NPI

Virginia M Collins, LCSW

  • Clinical Social Worker
  • Aurora, IL
National Provider Identifier
1477751865
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.003161 Issued in IL
Practice address
1237 Candlewood CT
Aurora, IL 60502-7000
Phone
(630) 615-8991
Fax
(630) 801-5616
NPI assigned
Jul 6, 2007
Last updated
Jan 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.003161 IL Primary

Addresses

Primary practice location

1237 Candlewood CT
Aurora, IL 60502-7000

Mailing address

1237 Candlewood Court
Aurora, IL 60502-7000
Phone (630) 615-8991

Other identifiers 1

IdentifierTypeStateIssuer
581092000OtherILMAGELLAN USER NAME

Other names 1

  • Virginia Collins Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.003161ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Irving and Associates in Behavioral Health PC CurrentSince Nov 1, 2011 Accepting new patients
Amer & Associates SC PastSince Feb 19, 2019 Accepting new patients

Locations

5151 Mochel Dr
Ste 307
Downers Grove, IL 60515
Phone (630) 963-5390

5201 Washington St
Ste 2
Downers Grove, IL 60515
Phone (630) 241-5689

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1477751865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 CANDLEWOOD COURT",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605027000",
            "telephone_number": "630-615-8991",
            "fax_number": "630-801-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 CANDLEWOOD CT",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605027000",
            "telephone_number": "630-615-8991",
            "fax_number": "630-801-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "VIRGINIA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.003161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN  USER NAME",
            "identifier": "581092000",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRGINIA",
            "last_name": "COLLINS",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.